Primary Care Physicians have always been the funnel through which all patients reach to the tertiary care facilities. This is a more
so established dictum in old established healthcare networks like the NHS, the US, continental Europe, Canada and Australia.
This model has always seen that strong trained General Practioners cognizably take care of a patient population of 1500-2000. In
the process they not only deal with emergent conditions the patients go through but run several risk assessment clinics and several
outreach programs for disease prevention. In the geographies mentioned above Practioners are incentivized through schemes to
prevent smoking, ask patients to loose weight, maintain compliance to medications and so much so that they are involved in the
social wellbeing of the family. The primary care network in the UAE is also being shaped on similar lines but a majority of the
expat population cannot avail of this. This population has its own peculiarities, it is underinsured, migratory and is more or less
demographically in the middle age bracket with children. Traditionally it has not had any geriatric patients or severely medically
compromised patients in its mix. Creating facilities which will cater to this population in an evidence based manner has always been a
challenge. To incorporate this in to the bigger plan of a growing hospital is another challenge. The challenges primarily are deployment
of human resource, keeping the physicians engaged and seeing that they are not incentivized to over prescribe or over investigate. The
model suggested in the presentation is a model we follow to get accountable care and will be detailed in the presentation.

Biography

Anshul Govila is a trained General Surgeon with a membership to the Royal College of Surgeons, Edinburgh and an MBA from London Business School. As passionate as he is about evidence based surgical practices, he is equally passionate about establishing healthcare practices which improve access, accountability and quality of care. To that purpose in his current role as Deputy COO of Universal Hospitals, he has been fundamentally involved in the growth of the network with the relevant accreditation.